Court Orders Rs 3.4 Lakh Payout for Bariatric Surgery
Surat: Signifying that an insurer cannot deny mediclaims without concrete evidence of pre-existing treatment, the Surat Consumer Disputes Redressal Commission (Additional) has directed an insurance company to reimburse around Rs 3.4 lakh for a 42-year-old policyholder's weight-loss surgery, which the company had previously denied.
The patient, a resident of Dabholi, Surat, underwent bariatric surgery for morbid obesity from January 27, 2022, to February 1, 2022, at a private hospital. He paid Rs 3,39,691 for the procedure and subsequently filed a claim under his Rs 5 lakh floater mediclaim policy, which was valid from August 24, 2021, to August 23, 2022. The patient as a policyholder maintained continuous health insurance coverage since 2010.
For more information, click on the link below:
Bariatric Surgery Claim Rejection Overturned! Court Orders Rs 3.4 Lakh Payout
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